Buckley, Robert Charles

Buckley, Robert Charles is an sole proprietor health care provider with primary practice located at 499 Gloster Creek Vlg Ste D4 , Tupelo MS 38801-4711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Buckley, Robert Charles can be contacted via phone (662) 377-6630.

Contact Information

Primary practice address
499 Gloster Creek Vlg Ste D4 Tupelo MS 38801-4711
Phone: (662) 377-6630
Fax: (662) 377-6635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 12823 Mississippi

Profile Details

NPI number 1093786980
LBN Legal business name Buckley, Robert Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Nov 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093786980 NPPES
Mississippi MEDICAID 00110707

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